LMSW Assessment and Intervention
Planning Quiz Questions and Answers
Graded A+
A social worker is providing case management services to a client who was diagnosed
with HIV disease six months ago and is having difficulty accessing and using the
services he needs. The client feels overwhelmed and isolated because he worries about
disclosing his serostatus to others. In her initial contact with this client, the social worker
should focus on:
Select one:
A. establishing a safe and accepting relationship and determining whether the client is
in crisis.
B. reassuring the client that she will protect his rights and assessing his needs.
C. establishing a comfortable rapport with the client and exploring what obstacles he
encounters in acquiring and using services.
D. performing a crisis assessment and finding out whether the client is receiving
adequate medical care and taking antiretroviral medications. - answerA. establishing a
safe and accepting relationship and determining whether the client is in crisis.
A client becomes very fearful when a therapist closes the door of the treatment room,
explaining that the session will be more private for the client. The closed door makes
her nervous, and she wants to leave the room and end the therapy session entirely.
Which is the BEST response by the social worker?
Select one:
A. Explain that as a policy of the agency, all therapists close their office doors during
sessions to preserve client confidentiality, and continue the session
B. Escort the client out of the office, ensuring that she schedules a follow-up
appointment a few days later
C. Work with the client to find an appropriately private location in the building that feels
safe to her. Once the session is resumed, ask the client to explain why the closed door
makes her so nervous
D. Open the office door and change the subject of discussion to something more
comfortable for the client - answerC. Work with the client to find an appropriately private
location in the building that feels safe to her. Once the session is resumed, ask the
client to explain why the closed door makes her so nervous
A social worker has been working in individual therapy with a client who has a
substance use disorder and has agreed to abstain from using substances. The client
has also been attending 12-Step meetings. In the current session, the client presents,
,for the first time, with depression-like symptoms. The social worker learns that the client
has been using again. The client's depression-like symptoms suggest that she may be
experiencing which of the following?
Select one:
A. Barbiturate intoxication.
B. Cannabis intoxication.
C. Opioid withdrawal.
D. Alcohol withdrawal. - answerC. Opioid withdrawal.
A child with oppositional defiant disorder is LEAST likely to exhibit which of the
following?
Select one:
A. Frequent conflicts with his parents.
B. A high degree of physical aggression toward peers.
C. Frequently blames others for his mistakes.
D. Often loses temper. - answerB. A high degree of physical aggression toward peers.
Group therapy might be appropriate for the client in all of the following circumstances
EXCEPT:
Select one:
A. the clients primary problem involves difficulties with intimacy.
B. the client is unmotivated to change.
C. the client is psychologically sophisticated.
D. the client wants to overcome her shyness. - answerB. the client is unmotivated to
change.
The client is a homeless woman who has a history of heavy alcohol use. She has
refused help from her family for many years and spends most of her time on the streets,
although she sometimes sleeps at a local shelter. She has been encouraged to enter an
agency's service system through the agency's outreach program. In planning and
providing case management services to this client, the social worker is LEAST likely to
do which of the following?
Select one:
A. Intervene to meet even unrealistic goals expressed by the client by breaking them
down into manageable and measurable steps.
B. Rely on information from outside informants to identify the client's needs because the
client is unlikely to be a reliable source of information.
C. Provide short-term therapy, along with information, advice giving, and linkage, in
order to help the client cope with day-to-day living situations.
D. Draw on the clients natural helping netw - answerB. Rely on information from outside
informants to identify the client's needs because the client is unlikely to be a reliable
source of information.
According to the DSM-5, a person intoxicated on either cannabis or cocaine is likely to
exhibit which of the following signs or symptoms?
Select one:
,A. Blurring of vision.
B. Psychomotor agitation.
C. Tachycardia.
D. Impaired attention. - answerC. Tachycardia.
Providers of mental health services need to be aware that for successful long-term
acculturation, immigrants and refugees should seek to:
Select one:
A. overcome marginalization in their new culture.
B. integrate their culture of origin with that of their new home.
C. connect with others of their own culture who have immigrated.
D. strive for assimilation into the new culture. - answerB. integrate their culture of origin
with that of their new home.
The client is a middle-aged man whose wife died five months ago. The client is showing
signs of major depression and reports feeling lonely and lacking support during this
difficult period. The client was diagnosed with diabetes several years ago and reports
that he hasn't seen his physician in almost a year, ever since his wife first became ill.
Using the four-factor PIE (Person-in-Environment) System, how would the social worker
record information about this client's problem situation?
Select one:
A. Factor I, biological; Factor II, psychological; Factor III, social; Factor IV, cultural.
B. Factor I, problems in social role functioning; Factor II, problems in the environment;
Factor III, mental heath problems; Factor IV, physical health problems.
C. Factor I, mental health problems; Factor II, physical health problems; Factor III,
problems in the environment; Factor IV, current level of functioning.
D. Factor I, pr - answerB. Factor I, problems in social role functioning; Factor II,
problems in the environment; Factor III, mental heath problems; Factor IV, physical
health problems.
Which of the following is NOT a principle of trauma-informed care practice?
Select one:
A. Safety
B. Empowerment
C. Trust
D. Leadership - answerD. Leadership
The client is a 32-year-old woman who has suffered from depression since her mid 20s.
The client started taking antidepressant medication two months ago and reports that her
mood has improved quite a bit. When asked by the social worker to describe why she
has come in, the client reports that she no longer wants to have sex, and that her
husband is upset by this. Based on what is known so far about this case, what should
the social worker do in response to what the client has shared?
Select one:
A. Discuss medication side-effects including whether the client is experiencing other
side-effects, and explain that the presenting symptom is a side-effect of her medication.
, B. Explain that marital problems may have been masked by depression and discuss the
possibility of couples therapy to address marital issues that may underlie the loss of
sexual desire.
C. Explain that a loss of sexual desire is common among people who - answerD. Confer
with the prescribing physician about the clients medication.
Symptoms of __________ are similar to those associated with a moderate to severe
case of the flu (e.g., muscle pain and cramps, diarrhea, chills, sneezing, lethargy).
Select one:
A. opioid intoxication
B. opioid withdrawal
C. cocaine intoxication
D. cocaine withdrawal - answerB. opioid withdrawal
Which of the following is the strongest indicator of suicide risk?
Select one:
A. Depression.
B. Family history of suicide.
C. Hopelessness.
D. Alcoholism. - answerC. Hopelessness.
A social worker is working in a center that provides services for homeless youth and
runaways. A 15-year-old boy who was kicked out of his home for being gay has come in
asking for help getting food. He has been living on the streets for about 3 months and
acknowledges he has been providing sexual favors in order to get his needs met. Which
statement would be the MOST helpful in helping an adolescent who is involved with sex
trafficking to begin to share?
Select one:
A. Have you ever had sex for money?
B. It wouldnt be unusual for someone in your position to feel desperate enough to trade
sex for money.
C. Many kids living on the street feel scared and feel like they need to find someone to
protect them. I wonder if youve ever felt this way?
D. I wonder if youve ever considered doing things you wouldnt ordinarily do to get by? -
answerC. Many kids living on the street feel scared and feel like they need to find
someone to protect them. I wonder if youve ever felt this way?
A 19-year-old client who lives at home with his parents has been uncharacteristically
hostile toward them and has seemed confused. The client mentions having bouts of
extreme fatigue and is very thin. What diagnosis should be considered FIRST?
Select one:
A. Stimulant use disorder.
B. Major depressive disorder.
C. Schizophrenia.
D. Opioid use disorder. - answerA. Stimulant use disorder.
